Kelme district has relations with:

• Hódmezövasarhely town (Hungary) in culture and education spheres;
• Bilgoraj town (Poland) in culture and education spheres;
• Künzelsau town (Germany) exchanges of civil servants between municipalities;
• Odense town (Denmark) in tourism sphere;
• Östra Göinge commune (Sweden) cultural exchanges, projects of disabled childrens;
• Novovolynsk town (Ukraina) cultural exchanges;
• Flora commune (Norway) cultural exchanges;
• Langenthall town (Switzerland) in medicine sphere;
• Hardenberg (Holland) in medicine and education spheres, exchanges of civil servants between municipalities;
• Mölde commune (Norway) exchanges of civil servants between municipalities.